Jagmohan Ghotra, NP - Medicare Nurse Practitioner in Modesto, CA

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Jagmohan Ghotra, NP is a medicare enrolled "Nurse Practitioner" in Modesto, California. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Harbor Wound Care P C, Community Health Centers Of America and her current practice location is 1608 Tully Rd, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 849-6543.

Jagmohan Ghotra is licensed to practice in California (license number 95003867) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689032815.

Contact Information

Jagmohan Ghotra, NP
1608 Tully Rd,
Modesto, CA 95350-4031
(209) 849-6543
(209) 422-3776

Map and Direction




Provider's Profile

Full NameJagmohan Ghotra
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location1608 Tully Rd, Modesto, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jagmohan Ghotra graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1689032815
  • Provider Enumeration Date: 02/02/2016
  • Last Update Date: 03/24/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8325334741
  • Enrollment ID: I20160912001816

Medical Identifiers

Medical identifiers for Jagmohan Ghotra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689032815NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 95003867 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Harbor Wound Care P C004270450426
Community Health Centers Of America3476813460109

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jagmohan Ghotra allows following entities to bill medicare on her behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NamePc Medical Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093814113
PECOS PAC ID: 6305839101
Enrollment ID: O20040407000296
Entity NameWest Hills Emergency Medical Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275761249
PECOS PAC ID: 6800949553
Enrollment ID: O20090729000217
Entity NameAdvantage Hospitalists, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801269881
PECOS PAC ID: 7810291531
Enrollment ID: O20160201000977
Entity NameAmerican Specialty Physicians Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568992923
PECOS PAC ID: 6103198460
Enrollment ID: O20170821003230
Entity NamePhysicians And Surgeons Home Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184105231
PECOS PAC ID: 6305181686
Enrollment ID: O20181213002651
Entity NameLb Hendricks Medical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366083842
PECOS PAC ID: 2365774007
Enrollment ID: O20191029002578
Entity NameIntegrated Allied Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649970740
PECOS PAC ID: 6204293228
Enrollment ID: O20230607001430
Entity NameJkg Nursing Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255128252
PECOS PAC ID: 7012436587
Enrollment ID: O20250528001785

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jagmohan Ghotra is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jagmohan Ghotra, NP
26024 Ohara Ln,
303 Starr Ave, CA 95380

Ph: (661) 877-6211		Jagmohan Ghotra, NP
1608 Tully Rd,
Modesto, CA 95350-4031

Ph: (209) 849-6543

Reviews and Comments


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Anissa Brown,
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Phone: 209-676-3069    
Nameeta Heer,
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Mrs. Lois Elaine Lewis, RN NURSE PRACTITIONE
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Practice Location: 205 W Granger Ave, Modesto, CA 95350
Phone: 209-579-9930    Fax: 209-579-9941
Ms. Margaret Baker, FNPC
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Medicare: Not Enrolled in Medicare
Practice Location: 1448 Florida Ave, Modesto, CA 95350
Phone: 209-523-1884    Fax: 209-523-2566
Ms. Fantine Warda, NP
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Medicare: May Accept Medicare Assignments
Practice Location: 1700 Coffee Rd, Modesto, CA 95355
Phone: 209-526-4500    Fax: 209-572-7901
Malarkodi Gunasekaran, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 600 Coffee Rd, Modesto, CA 95355
Phone: 209-550-4755    Fax: 510-491-7522
Shararah Aziz,
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Practice Location: 1700 Standiford Ave, Modesto, CA 95350
Phone: 209-676-3069    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.